HomeMy WebLinkAbout14550-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-18952
Date APRIL 3, 1990
THIS CERTIFIES that the buildin~
Location of Property 7580 HORTON LANE
House No.
County Tax Map No. 1000 Section 054
Subdivision
ADDITION
SOUTHOLD, NEW YORK
Street Hamlet
Block 02 Lot 012
Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 28~ 1985 pursuant to which
Building Permit No. 14550-Z dated FEBRUARY 25, 1986
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is GARAGE & LIVING ROOM ADDITION TO EXISTING ONE FAMILY DW~rI.TNG
The certificate is issued to JOSEPH & MARGUERITE CABIBBO
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-829317 - AUGUST 25~ 1987
PLUMBERS CERTIFICATION DATED N/A
lding Inspector
Rev. 1/81
FOR~ NO. 2
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
~TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS :~ERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
Permission is hereby gronted to:
........ .~..~. ~.~.~.....7_. -c~.~..~ ...................
..... ,..~.~.o....~,~..~..~.. ........ ~:..,"~x- ,,'
......... ~.. r,,,.~,.~. ,x.,o,~...~........~..:..~ .................
,,, ...... .~.~.z.:..~.~.~.~..~.x.....~....~/....£~.~.~.~.~`....``~G`~...~..~.~`~.
..~.~....~...~x.,..~',..t....~./../~...~ .......... ~-~....~x...~.~.~,?~......~
,,,p,~,,ses,~,,,ed ot ....... .(...Z,,S~..~*.....Z~.~ ....... .,~,,~.-.,~,-,.a,,...~.~..~.(.
pursuont to ~pplicotion doted ...(~.~.~.(~...i~ ...... Z,..~,. ......... , '~ond opproved by the
Building Inspector,
~e~ ~.2.~ ....
Building Inspector
Rev. 6/30/80
TOUN OF SOUTEOLD
BUILDINC DEPART)lENT
TOUN HALL
SOUT~OLD~ NE~ YORK
765- 1802
1197
APPLICATION FOR CERTIFICATE OF OCCUPANCT
NEW C0:ISTRUCTION ....... OLD OR PRE-EXISTING BUILDINC ...... VACANT LAND ........
Lecatio~ of P~operzy...~.~-. ........................................
~OUSE NO. STREET HAMLET
..~.-~.' ~ /t_
County Tax Map No. I000 Sec~io~ .. Block .~.~... Lot' - ........
~ ' '-' Filed Map Lot
Subd~vz~on .........................................
*er~i~ ,o. /~.~ .... ~a~ o~ Permi, .~ppti~a~ ...
~eal~h Dept. Approval .................. Under.ricers Approval ..............
Planning Board Approval ................
Request for Temporary CerciflcaCe ....... Final Certificate ................
Fee Submitted: $.. ~ '~
Form No~ 6
For
and
2.
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR :ERTIFICATE OF OCCUPANCY INSTRUCTIONS
This application must be!filed in typewriter OR ink and submitted to the building
inspector with the following; for new building or new use:
1. Final survey of property with accurate location of ail buildings, property lines,
streets, and unusual~natural or topographic features.
2. Final approval of HeAlth Dept. of water supply and sewerage-disposal (S-9 form.)..
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement fromiplumber certifying that solder used in system contains les~
than 2/10 of 1% lead~
5. Commercial building, iindustrial building, multiple residences and similar
buildings and installations, a certificate of code compliance from the architect
or engineer responsible for the building.
Submit Planning Board Approval of completed site plan requirements.
existing buildings (Prior to April 9, 1957) non-conforming uses, or buildings
"pre-existing" land 9ses:
Accurate survey of p~operty showing all property lines, streets, building and
unusual natural or t~pographic features.
A properly completedlapplication, a consent to inspect signed by the applicant
and a certified abstract of title issued by a title company which shall
show single and separate ownership of the entire lot prior to April 9, 1957.
If a Certificate of Occupancy is denied, the Building Inspector shall state the
reasons therefor in Writing to the applicant.
Date of any housing dode or safety inspection of building or premises, or other
pertinent informatio~ required to prepare a certificate.
FEES i
1. CERTIFICATE OF OCCUPANCY - New Dwelling $25.00, Addidtions to Dwelling $25.00
Alteration to Dwelliqg $25.00, Swimming Pool, $25.00. Accessory Building $25.00
Addition to Accessory Building, $25.00 - Businesses $50.00
2. Certificate of Occupancy on pre-existing dwelling - $100.00
Copy of Certificate of Occupancy - $5.00 - over 5 years - $10.00
4. Updated Certificate Of Occupancy - $5.00
5. Temporary Certificate of Occupancy - $15.00 Residential
Commercial
THE NEW YORK BOARD OF FIRE UNDERWRITERS~
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NEW YORK 10038
D.t~ AUCJU.~g 25, 1987 ~ppticat~o. ~o.o.fl~ 3632[6/85
o~y the electric~ eouiome~t ~ ~scribedbe~w a~d ~troduced b,~ t~ a~llca~t ~med o~ t~ a~ov~ aoolicatloR nB tuber in the pre~Lses of
X
i~ the following location~ ~ B~ement ~ I st FI. ~ 2nd FL Section Bilk Lot
~s examined oft ~ ~ 7 t ~7 attd found to be in cotnpl at ce with the reqt~iretnent.~ of this Board.
FIXTURE SWITCHES FIXTURES - RANGES C~KING DECKS OVENS
EXHAUST FANS
DRYERS FURNACE MOTORS
FUTURE APPLIANCE FEEDERS
TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
NO. OF FEET
SERVICE Oif~ONNECT
S E R V I C E
OTHER APPARATUS:
8ou~old, [~Y 11971
, Per
This certificate must not be altered in any mcmner; return to the office of the Board if incorrect. Inspectc~rs mqy be identified by their credenflals.
COPY DEPARTMENT. THIS COPY OF IH ANY/vI~NNER.
GENERAL I)4ANAGER
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING r~INAL
REMARKS:
DATE //,~//~
//
_~.~...~ 765-1802
INSPECTION
FOUNDATION 1ST
FOUNDATION 2ND
[ ] FRAMING
REMARKS:
ROUGH PLBG.
/~JSULATION
FINAL
DATE
VICTOR LESSARD
PRINCIPAL BUILDING INSPECTOR
(516) 765q802
FAX (516) 765-1823
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
March 26, 1990
Mr. Joseph Cabibbo ')-5~0 ~o~L~L~.~
69-24 62nd_._~
Mi~age, New York 11379
Dear Mr.
Re: Building Permit ~14550-Z
7580 Horton Lane, S6uthold, N.Y.
Suff. Co. Tax Map 91000-54-02-12
Cabibbo:
During a review of our files, it was noted that the above
building permit has expired and a Certificate of Occupancy has
not been issued.
According to the Code of the Town of Southold Article
XXVIII 100-281 and 100-284 a building permit is needed for any
additions to an existing dwelling. It is unlawful to use said
addition until a Certificate of Occupancy has been issued.
The final inspection was made on April 17, 1989 and
everything was okay for the issuance of the Certificate of
Occupancy, but we needed the application and check in the amount
of $25.00.
Kindly fill out the enclosed application and send it to
this office along with your check in the amount of $25.00 so
that we may issue the Certificate of Occupancy. Kindly clear up
this matter as soon as possible so that legal action does not
have to be taken.
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
VRW:gar
Vincent R. Wieczorek,
Ordinance Inspector
FIELD INS[~ECTIO~
FOUNDATION [1st)
FODNDATION 12nd)
2.
BOUGH FRAME &
PLUMBING
COMMENT~
INSULATION PER N.
STATE ENERGY
CODE
4.
FINAL
ADDITIONAL COMMENTS:
AUG- 1°1987
B .DG, DEPT.
"fOWN OF SOU"¢HOLD
?
FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL.: 765-1803
Exmnined ........... , i9
Approved. Z./~..~. ....... 19~.. Permit'No. t(~...~.~.~
Disapproved a/c
(Btuldlng Inspector)
APPLICATION FOR BUILDING PERMIT
Rece±ved.¢ ,~,~.( ...... ~9...~,
INSTRUCTIONS
a. This application must be completely filled in by typewriter or it~ ink and submitted to the Breeding Inspecto~, with .'
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public street
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli
cation.
c. The work covered by this application inay not be commenced before issuance of Bailding Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permi
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in Part for any purpose whatever until a Certificate of Occupan<,
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Depal'tment for the issuance of a Building Permit pursuant to th,
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances o
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and t(
admit authorized inspectors on premises and in building for necessary insp~ections.
C~Sfig/n~'e of applicant, or name, if a corporation)
·
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plnmber or builder
.................... z'Yfz~xr~/q ..................................................................
Name of' owner of premises .... ~---~Z9.~5. li .33~.:~0.~. .J O~.ff'Ag~I, .~. . .~.. .'.'~. . .~-5~..ff:3. ...........................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ...... ,/~/..,~.' .......
Electrician s L'cc ~se No. ~...~..g. ,~....~..4 .-~...
Other Tradc's Licensc No ......................
I. Location of land on which proposed work will be done .................................................
.............. 7.57 ............ H ................ ;. r,o . .. ..................
llouse Num her Street Hamlet
TV'. ....... & ...........................
County Tax Map No. I000 Section .......... Block Lot.[ 2.---
Subdivisioa ..................................... Filed Map No ............... Lot ...............
(Name)
2. State existing use and occupancy of premises and ii)tended use and Qccupancy of proposed construction:
a. Existing usc and occupancy .............. fl./q/..~A. ~.C.. bio..,YU--'; ......................................
,
b. Intended use and occupancy . .,C'.~/./X~ ...........................
3':' Nature of worl~ (check whlch applicable): New Bmldmg . ............ ~l{~ati0'n . i .....
Repair .... ..... ...... Removal . . .' ............ Demolition.'"'~-~-~.~,~.. Other Work ......
' (D
~ . , es nphon)
,, , ' ' .....
4.Estimated Co ' · .....................Fe :'.,4ff. ?.. ~ ...............
' '~ (t ' ' ' ppli n)
, . ,, , .. o bel paid on fihng this a carlo
s' [ fd it
$. lfdwelling, number of dwelling unit , , ..... Numbero wellingun s on each floor ...............
Ifg fc , ' ' ' '
arage, number o ars ......... ' .............. . .................. ~ ...........................
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .... ~ .............
· ' f~ ' ' y! F '~/~ ~ ' ' pti
7. Dimensions o xisting structures, if an rent,..,... '. ,.' ...... Rear . .'... De
'ght /~ ' ' ' '" ' '
Hel .... Number of Stones ...,. ]
Dimensions o same structure with alterations or additions: Front ... '. '-~ -, ...... Rear..-ax7. ,4~ .......
Deptt , ~/~( , I-Ie~ ht X, , .,. um
~ ..... ........... g ..... ~ ......... N bet c ~' Stories ..... I ...............
. . Dimensions of entire new ¢onstructmn: Front '. ~; .... ,. Rear . ~5' -'~ Depth
i Height ............ ~NunlberofStories.. ' { ~ ..............
Size of lot F~ont... /3~9~ ' ' ' ' R¢ar /ff~.. 'iDepth .....
10. Date of Purchase .... , ~./7/. ' .. ' " ' Nmne of EormerDwner ~, . ~. ~.6'TO.a(..../. ...........
1 1. Zone or use district in which premises are situat'ed', . [ ,,.,...' ' a~/¥TIB,a-. ,~ ,........ ........ .,.....,,. ,
12, Does proposed construction violate any zoning law', brdinance or regulation: ... ,! .................
13. Will lot be regradedI ..... .... ~d~d9.' ....... "[ ... Will excess fill be removed from premises: Yes
14. Name of Owner, of premises ~/.~3/.~,d..~]&;.££~... Address .]Tff:/~,//t~$.~tdtdc/. Phone No..Teff,3-.~o./ov..
Name of Architect /g# f~ .... ~ ....,..'Address' ~ ~
................. : ..... Phone No ................
Name of Contractor ...J~>69...~ . ./x/,/;~4 L,. .,..,. ,. Address ~ ! Phone No.. ~7~,ff..
PL~OT DIAGRAM ,1
, Locate clearly and distinctly all buildings whether existing or proposed, 0nd indicate all set-back dimefisions from
property lines. Glv~ street and block number or descn: men according to deed~ arid show street names and lndmate whethe~
interior or corner lot. i, ' ' '
STATE OE_NEW YORK, ~ , '
~,~,~4,,~ "(N,,Yme of individual sigtrrlng contract)
above named.
being duly sworn, dep!oses and says that he is the applicant
work will be performed in the manner set forth in thc applicati'on ill,ed therewith.
Sworn to before ~ne this ,
' HELEN K ~ ~
~m, ~pires March 30, 19~,
~ ..... ~ ............
(Sigdatture of applicant)
He is the ' ' ' ' ' ;
(Contractor, agent, corporate officer, etci)
of said owner or owners, and is, duly authorized to perform Or have performed the ,~aid work and to make and file this
application; that all statements contained in this application are true to the best of his knowledge and belief; and that the
~ y, Tr,,o p1
OCCUPAHCY OR
:-tJSE B B~LA~FUL
~lTI~T CE~IT'tFICATE
OCCUPANCY
765-180'2 9 AM T~ 4 PM FOR
FOLLOWING INSPECTIONS:
l, FouNDATION ' ~O'REQUIRED
FOR poURED CONCRETE
2.ROUGH - FRAMING &?LUMPING
3.INSU~TION
4;FINAL - ~ON'STRUCTION
BE CoMPL~E FOR C, O,
'ALL CONSTRUCTION sNALE
THE REQUIREMENTS OF THE N.Y.
~ATE CON.RUCTION & ENERGY,.
CODES· NOT REsPONSIBL~ FO~
I:
I~hoi~ ~,7'AO~O0